Pelvic pain in urogynaecology. Part I: evaluation, definitions and diagnoses |
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Authors: | Tilemachos Kavvadias Kaven Baessler Bernhard Schuessler |
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Institution: | (1) Department of Obstetrics and Gynaecology, Cantonal Hospital of Lucerne, Lucerne, Switzerland;(2) Urogynaecology/Pelvic Floor Centre Charit?, University of Berlin, Berlin, Germany |
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Abstract: | Aim of this review is to summarise the available literature on the definitions and assessment of pelvic pain in the urogynaecological
patient. A MEDLINE search and a hand search of conference proceedings of the International Continence Society and International
Urogynecological Association were performed. Sixty-nine articles were reviewed. The site of pain was specified in 45% of the
articles, 20% used the digital examination of pelvic myofascial trigger points for the diagnosis; 20%, the Pelvic Pain and
Urgency/Frequency Symptom Scale; 26%, the Interstitial Cystitis Symptom and Problem Index and 39%, a simple visual analogue
scale. The diagnosis was interstitial cystitis in 67% and chronic pelvic pain in 19% of the articles. Consensus on the diagnostic
procedures and definition of pelvic pain in the urogynaecological patient should be achieved in order to provide exact diagnostic
information which will lead to more satisfying treatment options. |
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Keywords: | |
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